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Tremor - American Family Physician

Mar 15, 2011 - ...and psychiatric drugs, can cause tremors. Anxiety and other psychological problems, an overactive thyroid, alcohol abuse or withdrawal, stroke or head injuries, and Wilson disease (a rare liver disease) can also cause tremors. Parkinson disease causes a resting tremor, and is most...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0315/p703.html

Systemic Vasculitis - American Family Physician

Mar 1, 2011 - The systemic vasculitides are characterized by inflammation of blood vessel walls. Vessels of any type, in any organ can be affected, resulting in a broad spectrum of signs and symptoms. The heterogenous nature of vasculitides presents a diagnostic challenge. The American College of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p556.html

Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...

Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0301/p522.html

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...occurrence of a major fatal or nonfatal cardiovascular event (i.e., myocardial infarction or stroke). Various secondary outcomes (i.e., separate assessments for myocardial infarction, stroke, congestive heart failure, and all-cause mortality) also were evaluated. Results: Baseline...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p612a.html

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...primary outcome was a composite of the first occurrence of a major fatal or nonfatal cardiovascular event (i.e., myocardial infarction or stroke). Baseline characteristics were similar between groups: 37 percent had experienced a previous cardiovascular event and 60 percent were...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p612.html

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...to lower homocysteine levels, would slow diabetic nephropathy and prevent subsequent vascular events, such as myocardial infarction and stroke. The Study: The DIVINe (Diabetic Intervention with Vitamins to Improve Nephropathy) study, a multicenter, randomized, double-blind,...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p613.html

AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic ...

Feb 15, 2011 - Computed tomography (CT) is the diagnostic standard for acute stroke even though its accuracy has not been formally established. Its sensitivity for diagnosing ischemic stroke in the initial hours is limited; therefore, improved accuracy is needed to develop and provide optimal stroke ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0215/p483.html

Complications of HIV Infection: A Systems-Based Approach - American Family Physician

Feb 15, 2011 - Patients with human immunodeficiency virus (HIV) infection often develop multiple complications and comorbidities. Opportunistic infections should always be considered in the evaluation of symptomatic patients with advanced HIV/AIDS, although the overall incidence of these infections ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p395.html

Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder - STEPS - American ...

Feb 15, 2011 - Guanfacine is an effective short-term treatment option for ADHD in children six to 12 years of age. Sedation is a marked problem in many children. Patients should take the medication daily to avoid adverse effects that occur with abrupt discontinuation or when the guanfacine is restarted.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0215/p468.html

Allergic Conjunctivitis - American Family Physician

Feb 15, 2011 - ...Previous: AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic Stroke Next: Hay Fever View the full table of contents >> Home / Journals / afp / Vol. 83/No. 4(February 15, 2011) / Allergic Conjunctivitis...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0215/p476.html

Treatment of Acute Migraine Headache - American Family Physician

Feb 1, 2011 - Migraine headache is a common and potentially debilitating disorder often treated by family physicians. Before diagnosing migraine, serious intracranial pathology must be ruled out. Treating acute migraine is challenging because of substantial rates of nonresponse to medications and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p271.html

Recurrent Venous Thromboembolism - American Family Physician

Feb 1, 2011 - A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p293.html

Tips From Other Journals - American Family Physician

Feb 1, 2011 - ...the incidence of diabetes; a composite cardiovascular outcome including development of heart failure, nonfatal myocardial infarction or stroke, unstable angina, arterial revascularization, or cardiovascular-associated death; and a similar composite cardiovascular outcome that...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0201/p311.html

Specialized Nutrition Support - American Family Physician

Jan 15, 2011 - Specialized nutrition support should be offered to patients who are malnourished or at risk of becoming malnour- ished when it would benefit patient outcomes or quality of life. Improving the nutritional value of ingested food and tailoring intake to the patient’s preferences, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p173.html

Shoulder Pain - Clinical Evidence Handbook - American Family Physician

Jan 15, 2011 - What are the effects of oral and topical drug treatment in persons with shoulder pain?What are the effects of local injections, nondrug and surgical treatments in persons with shoulder pain?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0115/p137.html

Atrial Fibrillation: Diagnosis and Treatment - American Family Physician

Jan 1, 2011 - Atrial fibrillation is the most common cardiac arrhythmia. It impairs cardiac function and increases the risk of stroke. The incidence of atrial fibrillation increases with age. Key treatment issues include deciding when to restore normal sinus rhythm, when to control rate only, and how...

American Family Physician : Article

https://www.aafp.org/afp/2011/0101/p61.html

The Geriatric Assessment - American Family Physician

Jan 1, 2011 - The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0101/p48.html

Atrial Fibrillation - American Family Physician

Jan 1, 2011 - ...Blood can clot when it pools. If the clot gets free, it can travel to your brain and cause a stroke. The trembling in the upper chambers can cause the lower chambers to get off beat. This makes it difficult for your heart to pump blood through your body. What are the symptoms? You...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0101/p71.html

Perioperative Antiplatelet Therapy - American Family Physician

Dec 15, 2010 - Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks after placement of bare-metal stents, three to six months after myocardial infarction, and at least 12 months after ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1484.html

Managing Adverse Effects of Hormonal Contraceptives - American Family Physician

Dec 15, 2010 - Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1499.html

Diagnosis, Initial Management, and Prevention of Meningitis - American Family Physician

Dec 15, 2010 - Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1491.html

Updated Recommendations on Daily Aspirin Use in Patients with Diabetes - Practice ...

Dec 15, 2010 - To address the uncertainties about aspirin use in persons with diabetes, experts from the American Diabetes Association, American Heart Association, and American College of Cardiology Foundation reviewed the current evidence and updated the 2007 recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1215/p1559.html

Oral Manifestations of Systemic Disease - American Family Physician

Dec 1, 2010 - Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1381.html

Sudden Cardiac Death and Implantable Cardioverter-Defibrillators - American Family ...

Dec 1, 2010 - Sudden cardiac death is a major public health problem, affecting 500,000 patients in the United States annually. An implantable cardioverter-defibrillator (ICD) can terminate malignant ventricular arrhythmias and has been shown to improve survival in high-risk populations. Although ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1357.html

Frontotemporal Dementia: A Review for Primary Care Physicians - American Family Physician

Dec 1, 2010 - Frontotemporal dementia (FTD) is one of the most common forms of dementia in persons younger than 65 years. Variants include behavioral variant FTD, semantic dementia, and progressive nonfluent aphasia. Behavioral and language manifestations are core features of FTD, and patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1372.html

Clinical Pathways: Effects on Practice, Outcomes, and Costs - Cochrane for Clinicians -...

Dec 1, 2010 - The results of 27 studies (n = 11,398) support the conclusion that clinical pathways reduce in-hospital complications and improve documentation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1201/p1338.html

Coronary Artery Disease Prevention: As Easy As 1, 2, 3? - Letters to the Editor - ...

Nov 15, 2010 - ...often use secondary prevention to refer to reducing the risk of recurrences of disease-related events, such as myocardial infarction,2 stroke,3 and osteoporotic fracture.4 Dr. Lucan’s observation that failing to precisely define what is meant by secondary prevention may occasionally...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1115/p1167.html

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in ...

Nov 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/1115/p1266.html

Management of Influenza - American Family Physician

Nov 1, 2010 - Influenza is a contagious airborne viral illness characterized by abrupt onset of symptoms. Fever, myalgia, headache, rhinitis, sore throat, and cough are commonly reported symptoms. The diagnosis should be made clinically, and the decision to begin antiviral therapy should not be ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1101/p1087.html

The Role of Nonstatin Therapy in Managing Hyperlipidemia - Editorials: Controversies in...

Nov 1, 2010 - When treating hyperlipidemia, physicians often face the question of the clinical value of nonstatin drugs, including bile acid sequestrants, fibrates (fibric acid derivatives), niacin, and cholesterol-absorption inhibitors. This editorial highlights the most prominent trial data and ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1056.html

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else - ...

Nov 1, 2010 - Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with hyperlipidemia has ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1063.html

Obesity in Adults - Clinical Evidence Handbook - American Family Physician

Oct 15, 2010 - What are the effects of drug treatments in adults with obesity? What are the effects of bariatric surgery in adults with morbid obesity?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/1015/p974.html

Tips From Other Journals - American Family Physician

Oct 15, 2010 - ...Background: Carotid artery stenosis causes about 20 percent of strokes in adults. The current treatment is carotid endarterectomy, which has been shown to reduce the risk of stroke and death more effectively than medical therapy. Recently, carotid artery stenting has emerged as a...

American Family Physician : Tip

https://www.aafp.org/afp/2010/1015/p991a.html

Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...

Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p785.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Hereditary Hemorrhagic Telangiectasia - American Family Physician

Oct 1, 2010 - ...in the stomach or intestines can cause black or bloody stools or anemia. In the lungs, they can cause shortness of breath and possibly strokes if they become large. There is a higher risk of bleeding during pregnancy. In the brain, abnormal vessels can be dangerous if they bleed....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/1001/p797.html

Contraception Choices in Women with Underlying Medical Conditions - American Family ...

Sep 15, 2010 - Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p621.html

Preventive Health: Time for Change - Editorials - American Family Physician

Sep 15, 2010 - It is time to make a decision. Which will be our health promotion strategy—primary prevention or secondary prevention?

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0915/p610.html

Interpreting and Evaluating the Details of the JUPITER Study - Letters to the Editor - ...

Sep 15, 2010 - ...Dr. Neft states that we ignore the benefit of fewer strokes (0.18 versus 0.34 per 100 person years) and fewer myocardial infarctions (0.17 versus 0.37 per 100 person years). The corresponding numbers needed to treat (NNT) for the two-year study period were approximately 300 and 250...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0915/p571.html

Tips From Other Journals - American Family Physician

Sep 15, 2010 - ...mortality, heart failure stage, hospitalization rate, or adverse events, although the lenient ratecontrol group had a lower risk of stroke (hazard ratio = 0.35). There was no difference between the groups in the prevalence of atrial fibrillation symptoms, including palpitations,...

American Family Physician : Tip

https://www.aafp.org/afp/2010/0915/p686.html

Neuropsychological Evaluation in Primary Care - American Family Physician

Sep 1, 2010 - Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p495.html

Dizziness: A Diagnostic Approach - American Family Physician

Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p361.html

ICSI Releases Guideline on Chronic Pain Assessment and Management - Practice Guidelines...

Aug 15, 2010 - The Institute for Clinical Systems Improvement (ICSI) released a guideline on the assessment and management of chronic pain in adults and physiologically mature adolescents 16 to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0815/p434.html

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change ...

Aug 1, 2010 - To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ absolute risk of having a coronary heart disease (CHD) event in 10 years. Before physicians adopt routine risk calculation, we should use the evidence to determine the best use of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0801/p236.html

Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...

Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p265.html

Thinking on Paper: Documenting Decision Making -- FPM

Aug 1, 2010 - The third article in our series on Medicare's documentation guidelines will help you determine whether what's on your mind is what's on the patient's record.

Family Practice Management : Articles

https://www.aafp.org/fpm/2010/0700/p10.html

Primary Prevention of CVD: Physical Activity - Clinical Evidence Handbook - American ...

Jul 15, 2010 - Does counseling to increase physical activity lead to increased physical activity in healthy persons without existing CVD? What are the health benefits of increasing physical activity in relation to cardiovascular outcomes in healthy persons without existing CVD?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0715/p136.html

How Important Is Reaching Blood Glucose Level Goals? - Letters to the Editor - American...

Jul 15, 2010 - ...for 10 years and determined that tighter glycemic control reduced microvascular complications.3 The effect on coronary artery disease and stroke was equivocal at the conclusion of the trial. However, another study reported that cardiovascular and all-cause mortality was...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0715/p100.html

Pain In the Quiet (Not Red) Eye - American Family Physician

Jul 1, 2010 - Although eye pain is often accompanied by redness or injection, pain can also occur with a quiet eye. Pain in a quiet eye can be the first sign of a vision-threatening condition, a more benign ophthalmologic condition, or a nonophthalmologic condition. Acute narrow-angle glaucoma is an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p69.html

Gait and Balance Disorders in Older Adults - American Family Physician

Jul 1, 2010 - Gait and balance disorders are common in older adults and are a major cause of falls in this population. They are associated with increased morbidity and mortality, as well as reduced level of function. Common causes include arthritis and orthostatic hypotension; however, most gait and ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p61.html

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